Organization
NEW BEGINNINGS OB/GYN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACEY GREENE-JOHNSON M.D. (PRESIDENT)
(770) 229-1117
Entity
Organization
Contact information
Practice address
231 W COLLEGE ST, GRIFFIN, GA 30224-4120
(770) 229-1117
(770) 229-5280
Mailing address
231 W COLLEGE ST, GRIFFIN, GA 30224-4120
(770) 229-1117
(770) 229-5280
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
038785
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00629252E
—
GA
Enumeration date
02/22/2008
Last updated
02/22/2008
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